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[Vaginal delivery and perineal trauma : it's time to repair].
Rev Med Suisse
June 2024
Service de chirurgie viscérale, Département de chirurgie, Hôpitaux universitaires Genève, 1211 Genève 14.
Perineal injuries can occur during vaginal delivery and they are harmful to anal function, sexuality, and overall quality of life of patients. Among the feared complications, anal incontinence, often difficult to address for both patients and caregivers, has a significant impact and must be looked for during the medical history. Clinical examination of the perineum and additional tests such as endoanal ultrasound and anorectal manometry confirm the diagnosis and guide the management.
View Article and Find Full Text PDF[Usefulness of ultrasound measurement of the lower uterine segment before delivery of women with a prior cesarean: Literature review].
Gynecol Obstet Fertil Senol
November 2024
Service d'obstétrique et gynécologie, hôpital américain de Paris, 92200 Neuilly-sur-Seine, France; Équipe U1018, épidémiologie clinique, CESP, université Paris Saclay, UVSQ, Inserm, 78180 Montigny-le-Bretonneux, France. Electronic address:
Identifying women with a history of cesarean delivery and at real risk for uterine rupture is an important aim in obstetric care. It is with this objective that different authors have evaluated the interest of ultrasound for predicting the risk of a cesarean scar defect by measuring the thickness of the lower uterine segment. The literature is sparse and subject to numerous biases because they are mainly prospective cohort studies with small numbers.
View Article and Find Full Text PDF[Uterine rupture during medical termination of pregnancy or intrauterine death: A risk management study].
Gynecol Obstet Fertil Senol
June 2023
CHU Toulouse, Pôle Femme Mère Couple, hôpital Paule de Viguier, 31059 Toulouse, France; Université Paul Sabatier Toulouse III, 31330 Toulouse, France.
Objective: To describe and analyze a series of uterine ruptures (UR) that occurred in the context of medical termination of pregnancy (MTP) or intrauterine death (IUD) from a risk management perspective.
Methods: French retrospective descriptive observational study of all cases of UR occurring during induction for IUD or MTP, reported between 2011 and 2021 by Gynerisq. Cases were recorded on a basis of voluntary reports using targeted questionnaires.
[A longitudinal study about post-traumatic stress disorder after delivery in Tunisian primiparous].
Encephale
December 2022
Service de psychiatrie B CHU Hèdi Chaker, 3000 Sfax, Tunisie.
Objectives: The aims of this study were to estimate the incidence of the post-partum post-traumatic stress disorder (PP-PTSD) in primiparous women, and to determine the profile of women at risk of developing this disorder.
Methods: We conducted a descriptive, prospective and longitudinal study carried out at the maternity department of the Hedi Chaker Hospital, Sfax-Tunisia over a period of 15 months. At the first stage of the study, the Saint-Antoine pain questionnaire, the peri-traumatic dissociative experiences questionnaire and the peri-traumatic distress inventory were used respectively to assess the pain of delivery, the peri-traumatic dissociation and distress.
[Obstetrical anal sphincter injury : How to manage the subsequent delivery ?].
Rev Med Suisse
October 2021
Service de gynécologie, Département de la femme, de l'enfant et de l'adolescent, HUG, 1211 Genève 14.
Obstetric anal sphincter injury (OASI) is a complication of vaginal delivery. Its potential consequences are numerous and include anal and/or fecal incontinence, sexual problems and perineal pain, which can be aggravated by future pregnancies and childbirth. One common issue after OASI is the assessment of anorectal function to discuss the delivery modalities during the next pregnancy.
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